García-Consuegra L, Junquera-Gutiérrez L, Albertos-Castro J M, Llorente-Pendás S
Department of Oral and Maxillofacial Surgery, Central Hospital of Asturias, Spain.
Rev Stomatol Chir Maxillofac. 1998 Nov;99(4):199-202.
Intrathoracic dissemination of an odontogenic infection is very infrequent. The resulting clinical manifestation, known as descending necrotizing mediastinitis, causes high mortality. Due to the absence of early clinical or radiological signs, diagnosis is usually made only when the process is completely established. Treatment is a combination of intravenous antibiotics and mediastinal drainage, via either a cervical or a transthoracic approach. We report the clinical and microbiological characteristics of 4 patients with descending necrotizing mediastinitis, and their clinical course over a period of 10 years.
牙源性感染的胸腔内播散非常罕见。由此产生的临床表现，即下行性坏死性纵隔炎，会导致高死亡率。由于缺乏早期临床或影像学征象，通常只有在病情完全发展时才能做出诊断。治疗方法是静脉使用抗生素并通过颈部或经胸途径进行纵隔引流。我们报告了4例下行性坏死性纵隔炎患者的临床和微生物学特征，以及他们在10年期间的临床病程。
